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Lesson 20 Certification Quiz

You will have two opportunities to take each lesson quiz and achieve a passing score of 80% or higher. Please make note of all incorrect answers during your first attempt so that you can apply that information during your second attempt. A reminder that an 80% or higher score on 90% of your program quizzes is one of the A-CFMP Certification Application requirements. All quiz questions will be available for practice and review within the A-CFMP Certification Lesson (once purchased).

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Question 1 of 10

1. Question
Which hormone(s), besides cortisol, are seen to fluctuate in general adaptation syndrome?
- a. DHEA
- b. T3 & T4
- c. Pregnenolone
- d. A & C
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Question 2 of 10

2. Question
In general adaptation syndrome, how does the HPA axis progress?
- a. Hyper-responsive to hypo-responsive.
- b. Hypo-responsive to hyper-responsive.
- c. Always in hyper-responsive state.
- d. Always in hypo-responsive state.
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Question 3 of 10

3. Question
Measuring urine metabolites of cortisol is the best way of estimating overall cortisol production.
- a. True. Over 90 percent of cortisol is cleared by several metabolic pathways before it’s conjugated and excreted into the urine.
- b. False. Free cortisol levels can be accurately used as an indicator of overall cortisol production.
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Question 4 of 10

4. Question
In what patient group(s) is low free cortisol and high total cortisol often observed?
- a. Hypothyroid patients
- b. Patients with autoimmune disorders
- c. Overweight patients with insulin or leptin resistance
- d. All of the above
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Question 5 of 10

5. Question
Morning cortisol production accounts for over half of total daily cortisol, so it is critical to test this value within two hours of a patient waking if using saliva for cortisol assessment.
- a. True. Morning cortisol levels steadily rise for the first couple hours of being awake, and then drop quickly in the afternoon.
- b. False. Morning cortisol levels peak 30 to 45 minutes after rising, so levels taken after this point will make total cortisol production appear low.
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Question 6 of 10

6. Question
What dietary approach(es) are used to treat autoimmunity?
- a. Removing foods that may trigger or exacerbate an immune response.
- b. Increasing intake of nutrients that promote optimal immune function.
- c. Increased intake of foods that promote a healthy gut microbiota.
- d. All of the above.
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Question 7 of 10

7. Question
What blood sugar targets should patients look for at one and two hours after a meal, respectively?
- a. Under 140mg/dL, and under 180mg/dL
- b. Both should be under 120mg/dL
- c. Under 140mg/dL, and under 120mg/dL
- d. Under 100mg/dL, and under 140mg/dL
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Question 8 of 10

8. Question
What can be a cause of thyroid dysfunction that may not be seen by just measuring TSH?
- a. SIBO
- b. Pituitary dysfunction
- c. Underconversion of T4 to T3
- d. B & C
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Question 9 of 10

9. Question
Deficiencies in what two minerals are major causes of non-autoimmune hypothyroidism?
- a. Iodine and magnesium
- b. Iodine and selenium
- c. Iodine and zinc
- d. Zinc and calcium
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Question 10 of 10

10. Question
People with autoimmune thyroid disease should try to eliminate gluten for at least six months.
- a. True. There’s a strong link between autoimmune disease and gluten intolerance that suggests patients with one should be screened for the other, and vice versa.
- b. False. While gluten elimination is encouraged with the Paleo approach, there is no link with thyroid disease.
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